JANET WHALEY O'BRIEN, OTR

NPI 1396175816, individual, Salisbury, MD, Health Educator

Evidence tier

structure or single-organization volume

Hours beyond a day in 1 month under one organization, which can be supervisory billing.
Records needed.

score 50 of 100, rank 9589, $78K at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

month	what was found	hours per day, lower bound	hours per day, at price	hours per day, conservative	per working day	patients	billing organizations	codes	paid
Oct 2018	More hours than a day holds at a conservative unit price	1.0	36.2	24.1	32.5	39	1	97530	$8K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	JANET WHALEY O'BRIEN, OTR
Type	Individual
Status	Active
NPI issued	November 19, 2013, last updated November 19, 2013
Practice location	1336 BELMONT AVE, SUITE 502 B, Salisbury, MD 21804-4500, 410-546-2894
Mailing address	6060 STRAWBERRY WAY, Salisbury, MD 21801-1795
Specialties	Health Educator (174H00000X, primary, license 05274 MD)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
97530	Therapy procedure using functional activities	$388K	100%	$221	$124 (top 5% from $387)	73rd percentile

In this area

4 providers in Wicomico County, MD carry an indicator in the public record, with $7.0M at stake between them. The most common is more hours than a day holds, on 4 of them.

tier	provider	at stake	why
4	WALTER GIANELLE Salisbury, MD, ranked 8401	$5.2M	Hours beyond a day in 4 months, but with up to 1901 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	KATHLEEN MIRSKY Salisbury, MD, ranked 9588	$79K	Hours beyond a day in 10 months under one organization, which can be supervisory billing. Records needed.
5	STEPHEN COOPER Salisbury, MD, ranked 10016	$1.6M	Medicaid dollars per patient on code 99394 ($212 per patient-month) sit in the top 5% of every provider billing that code.
5	JETHALAL HARKHANI Salisbury, MD, ranked 10457	$96K	Medicaid dollars per patient on code 99223 ($184 per patient-month) sit in the top 5% of every provider billing that code.

Recent enforcement in MD

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementMar 20, 2026

Health Care Management Corporation Agrees to Pay $4 Million to Resolve False Claims Act Allegations

CVR knowingly submitted claims to Medicare, Medicaid, and TRICARE for sclerotherapy, radiofrequency ablation, and endovenous laser ablation procedures to treat chronic venous insufficiency that were not clinically indicated and were medically unnecessary between January 1, 2010, and December 31, 2016.

DOJCivil settlementNov 20, 2025

Diagnostic Laboratory Agrees to Pay More Than $1 Million to Settle Alleged False Claims Act Violations

GTI agreed to pay $1.635 million to resolve allegations that it submitted Medicare claims for respiratory pathogen panels that were medically unnecessary or obtained through kickbacks paid under a marketing services agreement with an infection prevention company for laboratory test referrals from long-term care facilities.

DOJSentencedNov 13, 2025

Baltimore County Woman Sentenced for Impersonating Nurses and Aggravated Identity Theft

Amponsah used stolen nursing licenses and false educational and professional histories to obtain employment as a purported licensed nurse at no less than 40 facilities in Maryland that billed health care benefit programs including Medicare and Medicaid for services she provided, earning more than $145,000 in wages.

DOJPleaded guiltyAug 14, 2025

Baltimore County Woman Admits to Impersonating Nurses, Pleads Guilty to Aggravated Identity Theft

Amponsah used stolen nursing licenses and false educational and professional histories to obtain employment as a purported licensed nurse at no less than 40 facilities in Maryland, which billed health care benefit programs including Medicare and Medicaid for services she provided.

DOJCivil judgmentAug 11, 2025

United States Obtains More Than $1.4 Million Judgment Against Family Medical Practitioner for Fraudulent Billing

Akoto billed Medicare for auricular stimulation (P-Stim) devices using a code for a surgically implanted neurostimulator device, which Medicare does not reimburse as acupuncture.

Referral packet

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